Author Application 2017

An asterisk (*) indicates a required field.
 
Full Name *
Pen Name (if applicable) *
Email *
Name to be put on Badge *
Phone
Website
Genre(s) you write *
Panel Suggestion(s) (No panel topics are guaranteed)
Novel/ISBN for bookstore to stock *
Novel/ISBN for bookstore to stock
Novel/ISBN for bookstore to stock
Upload photo for program
Bio (100 Word Limit) *
Are you interested in having an Ad in the Con Program? If Yes a conference associate will contact you with more information. *

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